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目的探讨限制性会阴切开术在阴道分娩中的临床应用效果。方法 400例初产妇,2014年1~6月采用不限制会阴切开的作为对照组,2014年7~12月采用限制性会阴切开的作为实验组,各200例,观察两组产妇和新生儿的临床情况。结果实验组会阴侧切、产后尿潴留、会阴水肿、会阴伤口疼痛比例及产时出血量、住院天数明显低于对照组(P<0.05);实验组母乳喂养产妇明显多于对照组(P<0.05);两组产妇的第二产程时间、新生儿出生体质量及新生儿窒息情况比较差异无统计学意义(P>0.05)。结论限制性会阴切开符合分娩的自然原理,对产妇及新生儿起到有效的保护作用,值得临床推广应用。
Objective To investigate the clinical effect of limited episiotomy in vaginal delivery. Methods 400 cases of primipara, January to June 2014 with no restriction of perineal incision as a control group, July to December 2014 using a restrictive episiotomy as the experimental group, 200 cases each, two groups of maternal and neonatal Children’s clinical situation. Results The incidences of episiotomy, postpartum urinary retention, perineal edema, perineal wound pain and time of delivery and hospital stay in experimental group were significantly lower than those in control group (P <0.05). The breastfeeding mothers in experimental group were significantly more than those in control group (P <0.05) There was no significant difference in the second stage of labor, newborn birth weight and neonatal asphyxia between the two groups (P> 0.05). Conclusion The limited episiotomy meets the natural principle of childbirth and plays an effective protective role in maternal and newborn babies. It is worthy of clinical application.